Regina Sioux Ertz, Ph.D.
Psychologist, Clinical in Shawnee, OK. Individual provider (NPI-1).
NPI number1669957734
StatusActive
Last updated in NPPESSep 25, 2018
Details
- NPI
- 1669957734
- Entity type
- Individual (NPI-1)
- Name
- Regina Sioux Ertz
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2018
- Last updated
- Sep 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1319 | OK | Yes |
Practice location
2307 Gordon Cooper DrShawnee, OK 74801-9007
Phone 405-214-5101 · Fax 405-878-5846
Mailing address
2307 Gordon Cooper DrShawnee, OK 74801-9007
Phone 405-214-5101 · Fax 405-878-5846
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